Neighborhood walkability, walking difficulties, and participation in leisure activities among older people: a cross-sectional study and 4-year follow-up of a subsample

EM Tuomola, KE Keskinen, A Viljanen… - Journal of aging …, 2024 - journals.sagepub.com
Journal of aging and health, 2024journals.sagepub.com
Objectives: To study cross-sectional and longitudinal associations between objectively
assessed neighborhood walkability, walking difficulties, and participation in leisure activities
among older people. Methods: Self-reported 2 km walking difficulty (intact, modifications,
difficulties) at baseline and participating in organized group, outdoor recreation and cultural
activities at baseline and follow-up were studied in community-dwelling persons (N= 848)
aged 75–90. A walkability index, calculated using a geographic information system, was …
Objectives
To study cross-sectional and longitudinal associations between objectively assessed neighborhood walkability, walking difficulties, and participation in leisure activities among older people.
Methods
Self-reported 2 km walking difficulty (intact, modifications, difficulties) at baseline and participating in organized group, outdoor recreation and cultural activities at baseline and follow-up were studied in community-dwelling persons (N = 848) aged 75–90. A walkability index, calculated using a geographic information system, was categorized into tertiles (lowest, middle, highest).
Results
Residence in the highest walkability areas was associated with higher participation in cultural activities and lower participation in outdoor recreation, while the latter was most frequently reported by residents in the lowest walkability areas. Those reporting no difficulties were more likely than those reporting difficulties to participate in all studied activities. Residence in the middle or highest walkability areas predicted higher participation in cultural activities at follow-up.
Discussion
Older persons activity profiles associate with neighborhood walkability and walking difficulties.
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